Peachtree POCUS

08/08/2025

Portable Ultrasound in Action – Philips Lumify Review

Handheld ultrasound devices are changing how clinicians deliver care—especially in fast-paced and resource-limited settings. The Philips Lumify is one of the most established names in this space.

In this new Peachtree POCUS video, Dr. Guttman review's the Lumify’s image quality, app interface, workflow, pricing, and where it fits in the handheld ultrasound market. Whether you’re in emergency medicine, hospital medicine, primary care, or global health, this review will help you decide if the Lumify is the right fit.

Watch the full review here: https://www.youtube.com/watch?v=iy-_3Xd3aTk&t=4s

Looking for a portable ultrasound that delivers high-quality imaging? In this Peachtree POCUS review, Dr. Joshua Guttman tests the Philips Lumify, covering i...

08/07/2025

From Dr. Guttman:

Did you know?

Small Bowel Obstruction ( ) can be diagnosed with with an excellent sensitivity (92%) and specificity (92%) relative to CT scan and surgery.

How?

Lawn mower over the abdomen (or expert tip, start where the pain is) and look for:
Diagnostic sign:
-3 adjacent dilated small bowel loops (>2.5 cm) with adjacent collapsed bowel
Adjunctive signs:
-"to and from" peristalsis (the bowel contents go back and forth as they hit the obstruction), Fluid adjacent to the bowel (tanga sign), Fluid filled bowel with visible plica circularis (keyboard sign)

Cool!

But... why would I do it? Don't the surgeons need a CT scan anyway?

True, but let me tell you about my last patient with SBO.

She had abdominal pain and vomiting. Her bowel movements weren't great, but she had some diarrhea the day before. She thought it was probably a gastroenteritis but she had a funny feeling inside it was something more. 30 years earlier she had a bowel obstruction and something about it reminded her of that time. She was almost embarrassed at being in the ED and was concerned about "wasting my time". Her exam had some RLQ tenderness but overall wasn't terrible.

So I pulled out the and got the image below, showing SBO. The patient was "thrilled" in that her visit was vindicated. She felt better already knowing her diagnosis. The relief on her face was palpable. The CT would ultimately take hours to be done.

So what could we do in the meanwhile?
-Get her from a hallway bed into a room
-Starting NG tube suction to provide relief
-In some systems we could get her admitted to the hospital faster.

But most of all it provided both the patient and myself with diagnostic closure. We both knew what was going on. She could feel mentally better and physically better faster, and I know her diagnosis and have a treatment plan prepped. My limited brain power could now move onto thinking about other patients.

Sometimes it's those less tangible benefits of POCUS that make the most difference.

08/01/2025

Missed the in webinar? Check out the webinar on the YouTube channel.

Dr. Guttman and Dr. Robert Klempfner, CMO for AISAP.ai have a case-based discussion on how AI can improve the POCUS workflow

https://youtu.be/bIR32ACZPMg?si=t1LxSD-q9Ocafhjp

This What does it look like when AI truly impacts medical decision-making at the bedside?In this live webinar from July 29, 2025 hosted by AISAP, Dr. Joshua ...

07/21/2025

📌 You’re a clinician using your own handheld ultrasound for bedside exams.

But if you bill for those studies—does that create a Stark Law violation?
We explore the intersection of POCUS and physician self-referral rules in this blog post.

A must-read if you're performing and billing for point-of-care imaging.
🔗 https://peachtreepocus.com/blog/f/stark-law-and-physician-owned-pocus-risk-or-myth

Handheld ultrasound devices have grown increasingly popular due to improving image quality, wider availability, and lower cost. With prices now at a level where clinicians can personally purchase their own devices, Peach...

07/16/2025

Dr. Guttman will be discussing AI and and how it can integrate with the clinical workflow with Dr. Robert Klempfner, CMO of AISAP, a company that has developed an AI tool to read cardiac POCUS.

Join us on July 29 at 1:00 pm to listen live and participate!

Register here:
https://zoom.us/webinar/register/WN_lvpCdnPQTf-7WBqFKcO_DQ

07/15/2025

Big update from Peachtree POCUS!

We’ve just launched new online ultrasound courses designed for busy clinicians who need high-yield, practical training that sticks.

Whether you're learning POCUS for the first time or expanding your skills, you'll find focused, time-saving content — covering everything from vascular access and lung ultrasound to soft tissue, biliary, renal/bladder, and first trimester pregnancy.

explore the latest courses here: https://peachtreepocus.com/lectures

No subscriptions. Lifetime access. All built for real-world care.

07/11/2025

Cardiac arrest and pregnancy... changes management

07/03/2025

Does lack of lung sliding always mean chest tube?

Listen to this case and think about some nuance in and trauma care

06/26/2025

We all know ultrasound is safer than CT or X-ray—but that doesn’t mean there are no risks.

From the thermal effects of Doppler to the dangers of multi-use gel, ultrasound safety requires awareness and clear protocols.

In our latest blog post—Clean Probes, Clear Policies: POCUS Safety First—we walk through everything from ALARA to disinfection best practices.

Every department using POCUS should have safety policies in place. Peachtree POCUS can help.

📖 Read it here → https://peachtreepocus.com/blog/f/clean-probes-clear-policies-pocus-safety-first

Ultrasound safety? Isn’t ultrasound the safest form of medical imaging? After all, it’s been used on infants for over 70 years without issue. While ultrasound does avoid the ionizing radiation risks of X-rays and CT scan...

06/05/2025

She looked stable enough at first glance.
Mild epigastric pain. Normal labs. A bit hypoxic. Crackles on exam.

But something didn’t add up.
So I scanned her with POCUS.

What I saw on that screen… shifted the entire clinical picture.

🎥 Watch the case unfold: https://www.youtube.com/watch?v=7tC4bdFermI

A 78-year-old woman presented with epigastric pain, crackles on exam, and hypoxia — but her labs looked fine. Something didn’t make sense.I picked up my POCU...

05/28/2025

🩺 Hospital leaders and residency directors:
Are your residents performing point-of-care ultrasounds? If so, are you billing for them?

Our latest Peachtree POCUS blog post explains how CMS allows for reimbursement—if the right documentation and supervision are in place.

Get clear on professional vs. technical fees, attestations, and modifier use.

📘 Read: “Billing Resident POCUS Exams: What You Need to Know”
🔗 https://peachtreepocus.com/blog/f/billing-resident-point-of-care-ultrasound-exams-what-you-need-to

Subscribe for access to our POCUS report templates!

Introduction

05/27/2025

New video alert! 📹

Dr. Guttman reviews the Vave portable ultrasound — image quality, workflow, and more.
Watch it here: https://www.youtube.com/watch?v=6TV3jnGhZJY

Dr. Joshua Guttman from Peachtree POCUS reviews the Vave portable ultrasound. See how it performs , including image quality, portability, and app functionali...